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Efficacy and Safety of Sublingual Tablets of Grass Pollen Allergen Extract

Primary Purpose

Seasonal Allergic Rhinitis

Status
Completed
Phase
Phase 1
Locations
Austria
Study Type
Interventional
Intervention
300 IR grass pollen allergen extract tablet
Placebo tablet
Sponsored by
Stallergenes Greer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Seasonal Allergic Rhinitis focused on measuring Sublingual immunotherapy, Rhinitis, Conjunctivitis, Allergen challenge, Allergen exposition chamber, Grass pollen tablet, Allergic rhinoconjunctivitis

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female outpatients 18-50 years old
  • grass pollen rhinoconjunctivitis of at least 2 years.
  • positive specific skin prick test and a specific IgE dosage level of at least 0.70 kU/L at screening.
  • written consent
  • a positive response to the baseline challenge test (RTSS reaches 7 at one time-point at least during baseline challenge)

Exclusion Criteria:

  • Allergic rhino-conjunctivitis due to a co-sensitisation, likely to significantly change the symptoms of the subject throughout the study
  • Asthma requiring treatment other than short-acting beta-2 inhaled agonists.
  • Desensitisation treatment for grass pollen in the previous five years and current immunotherapy with another allergen.

Sites / Locations

  • Allergy Center Vienna West, Vienna Challenge Chamber -

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

300 IR

Placebo

Arm Description

300 IR grass pollen allergen extract tablet

Placebo tablet

Outcomes

Primary Outcome Measures

Average of Rhinoconjunctivitis Total Symptom Score (ARTSS) ]0-4] Hours
The primary efficacy variable was the Average of Rhinoconjunctivitis Total Symptom Score (ARTSS) during the four-hour (]0-4] hours) grass pollen allergen challenge at end point (after four months of treatment) of the 6 rhinoconjunctivitis symptoms (sneezing, rhinorrhea, nasal pruritus, nasal congestion, ocular pruritus and watery eyes). The severity of each symptom was evaluated by the subject, before allergen exposure and every 15 minutes during allergen challenge on a scale of 0 to 3; 0: no symptoms, 1: mild symptoms, 2: moderate symptoms, 3: severe symptoms, total score range was 0 to 18. The ARTSS ]0-4] hours was calculated as the mean of the RTSSs at each timepoint during the allergen challenge (i.e., 16 timepoints from 15 minutes to 4 hours) after 4 months of treatment (endpoint). The lower the score, the better the outcome.

Secondary Outcome Measures

Full Information

First Posted
February 8, 2008
Last Updated
April 18, 2016
Sponsor
Stallergenes Greer
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1. Study Identification

Unique Protocol Identification Number
NCT00619827
Brief Title
Efficacy and Safety of Sublingual Tablets of Grass Pollen Allergen Extract
Official Title
A Randomised, Double-blind, in Parallel Groups Placebo-controlled, Mono-centre, Phase I Study to Assess After Allergen Challenge in an Allergen Exposition Chamber the Effect and Its Time Course of Sublingual Immunotherapy (SLIT) Administered as 300IR Allergen-based Tablets Once Daily to Adults Suffering From Grass Pollen Rhinoconjunctivitis
Study Type
Interventional

2. Study Status

Record Verification Date
April 2016
Overall Recruitment Status
Completed
Study Start Date
September 2007 (undefined)
Primary Completion Date
March 2008 (Actual)
Study Completion Date
March 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Stallergenes Greer

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The objective of this study is to assess the effect of grass pollen extract SLIT tablets on the Rhinoconjunctivitis Total Symptom Score (RTSS) of the six rhinoconjunctivitis symptoms in response to grass pollen challenge after one week, one, two and four months of treatment in patients suffering from Seasonal Allergic Rhinoconjunctivitis (SAR) due to grass pollen.
Detailed Description
The purpose of this study is to determine whether SLIT tablets are effective on symptoms of allergic rhinitis compared to placebo in patients suffering from allergic rhinitis to grass pollen when exposed in an allergen chamber and also to determine the onset of action of SLIT tablets on allergic rhinitis symptoms.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Seasonal Allergic Rhinitis
Keywords
Sublingual immunotherapy, Rhinitis, Conjunctivitis, Allergen challenge, Allergen exposition chamber, Grass pollen tablet, Allergic rhinoconjunctivitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
89 (Actual)

8. Arms, Groups, and Interventions

Arm Title
300 IR
Arm Type
Experimental
Arm Description
300 IR grass pollen allergen extract tablet
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo tablet
Intervention Type
Drug
Intervention Name(s)
300 IR grass pollen allergen extract tablet
Other Intervention Name(s)
Sublingual immunotherapy tablet
Intervention Description
300 IR grass pollen allergen extract tablet once daily during four months
Intervention Type
Drug
Intervention Name(s)
Placebo tablet
Other Intervention Name(s)
Sublingual placebo tablet
Intervention Description
Placebo tablet once daily during four months
Primary Outcome Measure Information:
Title
Average of Rhinoconjunctivitis Total Symptom Score (ARTSS) ]0-4] Hours
Description
The primary efficacy variable was the Average of Rhinoconjunctivitis Total Symptom Score (ARTSS) during the four-hour (]0-4] hours) grass pollen allergen challenge at end point (after four months of treatment) of the 6 rhinoconjunctivitis symptoms (sneezing, rhinorrhea, nasal pruritus, nasal congestion, ocular pruritus and watery eyes). The severity of each symptom was evaluated by the subject, before allergen exposure and every 15 minutes during allergen challenge on a scale of 0 to 3; 0: no symptoms, 1: mild symptoms, 2: moderate symptoms, 3: severe symptoms, total score range was 0 to 18. The ARTSS ]0-4] hours was calculated as the mean of the RTSSs at each timepoint during the allergen challenge (i.e., 16 timepoints from 15 minutes to 4 hours) after 4 months of treatment (endpoint). The lower the score, the better the outcome.
Time Frame
4 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female outpatients 18-50 years old grass pollen rhinoconjunctivitis of at least 2 years. positive specific skin prick test and a specific IgE dosage level of at least 0.70 kU/L at screening. written consent a positive response to the baseline challenge test (RTSS reaches 7 at one time-point at least during baseline challenge) Exclusion Criteria: Allergic rhino-conjunctivitis due to a co-sensitisation, likely to significantly change the symptoms of the subject throughout the study Asthma requiring treatment other than short-acting beta-2 inhaled agonists. Desensitisation treatment for grass pollen in the previous five years and current immunotherapy with another allergen.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Friedrich HORAK, Pr. MD
Organizational Affiliation
Allergy Center Vienna West, VIENNA, AUSTRIA
Official's Role
Principal Investigator
Facility Information:
Facility Name
Allergy Center Vienna West, Vienna Challenge Chamber -
City
Vienna
ZIP/Postal Code
1150
Country
Austria

12. IPD Sharing Statement

Citations:
PubMed Identifier
19647862
Citation
Horak F, Zieglmayer P, Zieglmayer R, Lemell P, Devillier P, Montagut A, Melac M, Galvain S, Jean-Alphonse S, Van Overtvelt L, Moingeon P, Le Gall M. Early onset of action of a 5-grass-pollen 300-IR sublingual immunotherapy tablet evaluated in an allergen challenge chamber. J Allergy Clin Immunol. 2009 Sep;124(3):471-7, 477.e1. doi: 10.1016/j.jaci.2009.06.006. Epub 2009 Aug 3.
Results Reference
result
PubMed Identifier
24261946
Citation
Baron-Bodo V, Horiot S, Lautrette A, Chabre H, Drucbert AS, Danze PM, Senechal H, Peltre G, Galvain S, Zeldin RK, Horak F, Moingeon P. Heterogeneity of antibody responses among clinical responders during grass pollen sublingual immunotherapy. Clin Exp Allergy. 2013 Dec;43(12):1362-73. doi: 10.1111/cea.12187.
Results Reference
derived
PubMed Identifier
23181790
Citation
Bonvalet M, Moussu H, Wambre E, Ricarte C, Horiot S, Rimaniol AC, Kwok WW, Horak F, de Beaumont O, Baron-Bodo V, Moingeon P. Allergen-specific CD4+ T cell responses in peripheral blood do not predict the early onset of clinical efficacy during grass pollen sublingual immunotherapy. Clin Exp Allergy. 2012 Dec;42(12):1745-55. doi: 10.1111/cea.12015.
Results Reference
derived

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Efficacy and Safety of Sublingual Tablets of Grass Pollen Allergen Extract

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